In their article, “A Novel Approach to the Management of Margin-positive DCIS in Nipple-sparing Mastectomy” in Plastic and Reconstructive Surgery: Global Open (www.prsglobalopen.com), Dr. Becker et al. propose a novel method for addressing retroareolar ductal carcinoma in-situ (DCIS) in patients undergoing nipple-sparing mastectomy. The article details the treatment course of a 50-year-old female patient who underwent bilateral nipple-sparing mastectomy for a unilateral grade II infiltrating ductal carcinoma. Intraoperative frozen section evaluation of the retroareolar tissue margin was positive for DCIS, a finding that traditionally warrants removal of the nipple-areolar complex and conversion to a traditional skin-sparing mastectomy.
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